Active NPI
A Bliss Care, Inc.
Doing business as A Blisss Hospice Care
- Community Based Hospice Care Agency
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 014779
- Legal business name
- A BLISS CARE, INC.
- Doing business as
- A Blisss Hospice Care
- Practice address
- 138 E Ridgewood CT
San Antonio, TX 78212-2340 - Phone
- (210) 887-2775
- Fax
- (210) 468-0713
- NPI assigned
- May 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Avelina Brennan, CPP
- Title
- Ceo
- Phone
- (210) 887-2775
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 014779 | TX | Primary |
| Nursing Care Agency | 251J00000X | 014779 | TX | |
| In Home Supportive Care Agency | 253Z00000X | 014779 | TX |
Addresses
Primary practice location
138 E Ridgewood CT
San Antonio, TX 78212-2340
Mailing address
4007 McCullough Ave
Suite No. 259
San Antonio, TX 78212-2420
Phone (210) 887-2775
Other names 1
- A Blisss Hospice Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140328000985 | TX | Part A Provider - Hospice | 5496900854 | Practice locations: San Antonio, TX |
Hospice certification: CCN 741562
- Legal name
- A BLISS CARE, INC.
- Doing business as
- A BLISS HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 3, 2015
- Last certification
- Feb 4, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 28, 2011 in TX
- Enrollment address
- 140E Ridgewood CT
San Antonio, TX 78212-2340
Care Compare: Hospice
Medicare Care Compare- Listed as
- A Bliss Hospice Care
- Ownership
- For-Profit
- Certified
- May 3, 2015
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2052432 | A Bliss Care, Inc | Certificate of waiver | Jan 9, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Avelina Mercado | 5% Or Greater Direct Ownership Interest | Jun 28, 2011 | 90% |
| W-2 Managing Employee | Dec 1, 2011 | ||
| Jeremias M Abueme | Contracted Managing Employee | Nov 1, 2012 | |
| Corporate Director | Nov 1, 2012 | ||
| Ramon Mercado | 5% Or Greater Direct Ownership Interest | Jan 1, 2012 | 10% |
| W-2 Managing Employee | Jan 22, 2024 | 10% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1891790960
Contracted Managing Employee, Corporate Director
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336694400000",
"number": "1548529423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 MCCULLOUGH AVE",
"address_2": "SUITE NO. 259",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782122420",
"telephone_number": "210-887-2775",
"fax_number": "210-468-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 E RIDGEWOOD CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782122340",
"telephone_number": "210-887-2775",
"fax_number": "210-468-0713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A BLISS CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A",
"authorized_official_last_name": "BRENNAN",
"authorized_official_first_name": "AVELINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-887-2775",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPP"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TX",
"license": "014779",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "TX",
"license": "014779",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": "014779",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A Blisss Hospice Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.